Unlock hundreds more features
Save your Quiz to the Dashboard
View and Export Results
Use AI to Create Quizzes and Analyse Results

Sign inSign in with Facebook
Sign inSign in with Google

icd 10 quiz: Practice real‑world diagnosis coding

15 icd 10 practice questions with instant feedback and code tips

Editorial: Review CompletedCreated By: Odessa Mhillanne EspirituUpdated Aug 23, 2025
Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art depicting elements related to ICD-10 coding practice quiz.

This quiz helps you practice ICD-10 coding on 15 brief cases and check your choices with instant feedback, so you build accuracy and speed. For more applied drills, work through the icd-10-cm coding scenarios. To round out your prep, try a broader medical coding practice test or a quick medical coding quiz.

Which ICD-10-CM code captures an encounter for immunization only with no other diagnoses documented?
Z00.00 (general adult medical exam without abnormal findings)
Z51.89 (encounter for other specified aftercare)
Z23 (encounter for immunization)
Z13.9 (encounter for screening, unspecified)
undefined
For an acute fracture receiving active treatment, which 7th character should be used?
X (placeholder indicating unspecified encounter)
D (subsequent encounter)
A (initial encounter for active treatment)
S (sequela)
undefined
Which ICD-10-CM code is used for type 2 diabetes mellitus without complications?
E11.9 (Type 2 DM without complications)
E13.9 (Other specified DM without complications)
E10.9 (Type 1 DM without complications)
R73.03 (Prediabetes)
undefined
When coding a routine general adult medical examination without abnormal findings, which code is appropriate?
Z00.01 (general adult medical exam with abnormal findings)
Z13.6 (encounter for screening for cardiovascular disorders)
Z01.89 (encounter for other specified special examinations)
Z00.00 (general adult medical exam without abnormal findings)
undefined
Which code captures an encounter for removal of sutures?
Z48.3 (aftercare following surgery for neoplasm)
Z47.1 (aftercare following joint replacement surgery)
Z48.00 (encounter for change or removal of nonsurgical wound dressing)
Z48.02 (encounter for removal of sutures)
undefined
When coding influenza due to identified influenza virus with pneumonia, which approach is correct?
Use J10.00-J10.1 series and add code for pneumonia if not included by combination
Code pneumonia only
Use only J09.- regardless of strain
Use only J11.- for all influenza cases
undefined
Which code captures encounter for screening mammogram for malignant neoplasm of breast?
Z12.31 (encounter for screening mammogram for malignant neoplasm of breast)
Z01.419 (gynecological exam without abnormal findings)
Z12.39 (other screening for malignant neoplasm of breast)
Z13.820 (screening for osteoporosis)
undefined
A patient presents with essential hypertension and stage 3 chronic kidney disease. Which code set captures the linkage per ICD-10-CM guidelines?
I10 and N18.30 coded separately with no linkage
I12.9 and N18.30 (hypertensive CKD and CKD stage 3)
I12.0 only
I13.10 only
undefined
Which statement best reflects coding of BMI in ICD-10-CM?
BMI codes are used for pediatric BMI percentiles
BMI may be coded as principal diagnosis
BMI Z68.- is secondary and requires provider-documented height and weight to calculate
BMI can be coded based on patient self-report
undefined
A patient has COPD with acute exacerbation. Which code is appropriate?
J44.9 (COPD, unspecified)
J44.0 (COPD with lower respiratory infection)
J44.1 (COPD with acute exacerbation)
J43.9 (emphysema, unspecified)
undefined
Which code captures long-term (current) use of insulin in a patient with type 2 diabetes?
E10.9 (type 1 DM without complications)
Z79.899 (other long-term drug therapy)
Z79.4 (long-term use of insulin)
E11.65 (type 2 DM with hyperglycemia)
undefined
Coding an adverse effect of a drug requires the first-listed code to be the manifestation of the reaction, followed by the T36-T50 code with the appropriate 5th/6th character for adverse effect.
True
False
undefined
A patient with acute blood loss anemia due to GI hemorrhage requires which coding sequence?
Code the GI hemorrhage first, then D62 for acute posthemorrhagic anemia
R58 only
D62 only
Z79.01, then D62
undefined
For a toxic effect of ingested household bleach, which intent category applies in external cause coding?
Intentional self-harm, code X71-X83
Undetermined, code Y10-Y34 only without T code
Assault, code X85-X99
Accidental (unintentional), code T54.92X- with appropriate 7th character and external cause code X49.-
undefined
In burns, when coding both a burn and a corrosion of the same site and degree, how should they be reported?
Report only the corrosion when both are present at the same site and degree
Use T31.- only
Report only the burn
Report both burn and corrosion codes for the same site and degree
undefined
For encounters solely for antineoplastic chemotherapy, which code is designated as the first-listed diagnosis?
Z79.899 (other long-term drug therapy)
Z51.12 (encounter for antineoplastic immunotherapy)
C80.1 (malignant neoplasm, unspecified)
Z51.11 (encounter for antineoplastic chemotherapy)
undefined
Nontraumatic subarachnoid hemorrhage during the acute phase should be coded to which category?
I62.- (other nontraumatic intracranial hemorrhage)
I61.- (intracerebral hemorrhage)
I69.- (sequelae of cerebrovascular disease)
I60.- (nontraumatic subarachnoid hemorrhage)
undefined
When a patient has both acute on chronic systolic heart failure, which code captures this specificity?
I50.23 (acute on chronic systolic heart failure)
I50.22 (chronic systolic heart failure)
I50.9 (heart failure, unspecified)
I50.21 (acute systolic heart failure)
undefined
Which code captures morbid (severe) obesity due to excess calories?
E66.3 (overweight)
E66.01 (morbid obesity due to excess calories)
Z68.41 (BMI 40.0-44.9)
E66.9 (obesity, unspecified)
undefined
A patient with type 2 diabetes and diabetic chronic kidney disease stage 4 requires which coding approach?
I12.9 only
E11.21 only
E11.22 and N18.4 (type 2 DM with diabetic CKD; CKD stage 4)
E11.9 and N18.4
undefined
0

Learning Outcomes

  1. Analyse clinical scenarios to select correct ICD-10 codes
  2. Identify code structures and conventions for precise coding
  3. Apply official guidelines to complex diagnostic cases
  4. Demonstrate proficiency in coding common medical conditions
  5. Evaluate coding choices to ensure compliance and accuracy
  6. Master chapter-based coding principles for diverse cases

Cheat Sheet

  1. Understand the structure of ICD-10 codes - Think of each code as a mini puzzle made up of seven alphanumeric characters that spell out section, body system and root operation. Once you break it down into its parts, reading codes feels more like solving a mystery than memorizing random digits.
  2. Familiarize yourself with coding conventions - Abbreviations like NEC ("Not Elsewhere Classifiable") and NOS ("Not Otherwise Specified") pop up everywhere, so know them by heart. Punctuation rules - like parentheses for nonessential modifiers - are your roadmap to precise coding.
  3. Apply the etiology/manifestation convention - Always list the underlying cause first, then the manifestation, following "code first" and "use additional code" notes like a pro. This keeps your sequencing tidy and prevents coding mix-ups down the line.
  4. Interpret "with" and "in" correctly - In ICD-10 land, "with" or "in" means "associated with" or "due to," so they're not just filler words. Treat these connections seriously to capture the full clinical picture.
  5. Utilize "see" and "see also" instructions - A "see" note steers you to one term for the best code, while "see also" clues you in to extra terms that might apply. Think of them as sidekicks that guide you to the perfect code.
  6. Assign codes to the highest level of specificity - Don't stop short - use all required characters, including that important 7th character when needed. The more specific you are, the more accurate your claim and patient record will be.
  7. Differentiate between acute and chronic conditions - When both acute and chronic issues appear, always code the acute one first if they share the same indentation level. This rule keeps your code sequence logically organized.
  8. Recognize conditions integral to a disease process - If a symptom is part of a disease, you don't need a separate code unless instructed otherwise. Avoid extra codes for things that are already built into the main diagnosis.
  9. Report each unique diagnosis code only once per encounter - Even if a condition affects both sides of the body, you only list the code once unless laterality codes exist. This keeps your billing clean and claim reviewers happy.
  10. Stay updated with official coding guidelines - ICD-10 rules evolve every year, so check the latest releases to keep your skills sharp and compliant. A quick monthly habit of scanning updates can save headaches later.
Powered by: Quiz Maker